Volunteer Application
The Bay Model Visitor Center
2100 Bridgeway
Sausalito, CA 94965
Phone: (415) 332 -3871
Fax: (415) 332 -0761

Date: ______/______/______

Name:_________________________________________________

Address:_______________________________________________

Home Phone:____________________________________________

Work Phone:____________________________________________

How did you hear about the Bay Model Visitor Center volunteer
program?_______________________________________________

______________________________________________________

Briefly describe your volunteer work interests:
______________________________________________________

______________________________________________________

______________________________________________________

What skills, experience, education do you have that would like to use in your volunteer work? (Please Circle)

• Public Contact Photography/Graphics
• Teaching Exhibits/ Displays
• Foreign Language Library
• Working with children Computer
• Typing/ Clerical Environmental Studies
• Writing/ Editing Retail Sales

Please list any additional skills/ education/ experience you may have: ______________________________________________________

______________________________________________________

______________________________________________________

Please list any work experience you have: ______________________________________________________

______________________________________________________

______________________________________________________

Please list any volunteer experience you have: ______________________________________________________

______________________________________________________

Briefly describe your educational experience: ______________________________________________________

______________________________________________________

Why would you like to volunteer at the Bay Model Visitor Center? ______________________________________________________

______________________________________________________

In what ways do you hope to benefit from being a volunteer? ______________________________________________________

______________________________________________________

Are you over the age of eighteen? ______________________

Do you have any health condition which could limit your ability to safely perform your duties as a volunteer?
_____________________________________________________

_____________________________________________________

What days and hours can you volunteer:

Sunday ____________________ Monday ___________________
Tuesday ___________________ Wednesday _________________
Thursday __________________ Friday ____________________
Saturday ____________________

Who can we notify in case of an emergency:
Name: ________________________________________________

Relationship: ___________________________________________

Address:_______________________________________________

Day Phone:_____________________________________________

Night Phone:____________________________________________

Signature: ______________________________________________

Date: ______/______/______

For Office Use Only

Interviewed: ____________________________________________

Placed: ________________________________________________

Training: _______________________________________________

Privacy Act Statement

The following information is provided to comply with the Privacy Act (PL 93-579).5 U.S.C. 301 and 7 CFR 260 authorize acceptance of the information requested on this form. The data will be used to contact applicant and to interview and select them for a volunteer position.